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Individual

MR. CHARLES EDWARD SCOTT II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
8 MOOSEHEAD LN APT 117, DOVER FOXCROFT, ME 04426-1402
(207) 343-1189
(800) 783-5801
Mailing address
763 BEAR HILL RD, DOVER FOXCROFT, ME 04426-3306
(207) 343-1189
(207) 564-0060

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC16888
ME
1041C0700X
Clinical Social Worker
MC15483
ME

Other

Enumeration date
08/18/2015
Last updated
04/07/2020
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